Question

Which among the following is not a component of the hypogastric sheath?

• A. Broad ligament of uterus
• B. Transverse cervical ligament
• C. Lateral ligament of uterus
• D. Lateral ligament of bladder

Hint:

The sheath gives fascial laminae; a peritoneal fold does not belong.

Answer 1

The Correct Option is A

Step 1: The hypogastric sheath is a condensation of pelvic fascia that extends from the lateral pelvic wall toward the pelvic viscera, carrying the branches of the internal iliac (hypogastric) vessels and the ureter.
Step 2: It splits into three named laminae (ligaments) that pass to different organs: the lateral ligament of the bladder anteriorly, the transverse cervical (cardinal/Mackenrodt) ligament in the middle, and the lateral (rectal) ligament posteriorly. The lateral cervical ligament is sometimes termed the lateral ligament of the uterus.
Step 3: These three laminae are the true components derived from the hypogastric sheath and provide passive support to the pelvic organs.
Step 4: The broad ligament of the uterus is NOT part of the hypogastric sheath. It is a double fold of peritoneum draped over the uterus and adnexa and is a peritoneal structure, not a fascial condensation.
Conclusion: The broad ligament of the uterus is not a component of the hypogastric sheath (option 1).